Individual
MS. CRYSTAL MADONNA SPELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1400 HAND AVE STE T, ORMOND BEACH, FL 32174-8196
(386) 451-8196
Mailing address
1400 HAND AVE STE T, ORMOND BEACH, FL 32174-8196
(386) 451-8196
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA79922
FL
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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